Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03571 | Date 14/02/2019 |
| Token No | SM/19-20/7645 31/07/2019 | Serial | 001 Last Visit: 19/01/2023 |
| Patient Name | Mrs. ANITA BENERJEE | Contact No | 9748381588 |
| Address | 21CHATRA,DHARMA TALA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||